Aesthetic Dental Treatments

Tooth Whitening
Although the “natural” tooth color varies from person to person, tooth discoloration can be caused by such things as tobacco use, dark foods and beverages (e.g., coffee & red wine), age, certain medications, and tooth trauma. While most people’s teeth become darker and more yellow as they age, whiter and brighter teeth are considered more attractive at any age. Fortunately, tooth discoloration is treatable.

Treatment
Treatment consists of the use of whitening trays (custom fitted or prefabricated) that fit over the teeth and hold a tooth whitener in place for about 30 minutes at a time for about 10-14 days. The active ingredient in most tooth whiteners is some form of peroxide. Oxygen molecules from the peroxide penetrate the tooth and break down discolored molecules. The treatment provided in our office differs from over the counter whitening sets in that the trays are of better quality and the whitening agent is stronger (prescription strength) and you are assured it was properly stored and handled (e.g., refrigerated).

Some people, though not all, experience some sensitivity during whitening. This sensation is temporary, however, and typically disappears within a few days of treatment.

Veneers

Veneers are thin pieces of porcelain or composite cemented or bonded over the front of your teeth to change their color or shape. Veneers are used to improve the appearance of teeth with uneven surfaces or teeth that are chipped, discolored, oddly shaped, unevenly spaced or crooked. Veneers also are used to mask teeth stained by tetracycline, by an injury, or as a result of a root-canal procedure, and are ideal for masking discolored fillings in front teeth. Veneers are usually irreversible because it is necessary to remove a small amount of enamel from your teeth to accommodate the veneer. Veneers can be used to treat a single tooth or several teeth, and usually require little or no anesthesia.

Veneers come in two materials, porcelain and composites.
Porcelain veneers have a longer life expectancy and color stability than composite veneers, and are more resistant to staining from coffee, tea, and even smoking. They are made by a dental lab working from a model provided by the dentist, which means that they require at least two appointments: one to prepare the teeth and take the impression for the model, the other to cement the veneers in place.

Composite veneers are made from the same composite materials as tooth colored fillings. They are not as strong and long lasting as porcelain veneers and are more susceptible to discoloration. On the other hand, they are applied by the dentist and therefore usually require only a single visit. In addition, they often are more economical.

Which should I choose?
Porcelain veneers are stronger, last longer, and are more resistant to discoloration. They are recommended in most cases. In particular, patients who eat and drink dark colored foods or who smoke should use porcelain veneers. Also, patients with a history of chipping their teeth should choose porcelain veneers for their greater strength. Ease of application and being more economical are the main advantages of composite veneers. Patients that avoid discoloring foods and drinks and are more careful in avoiding chipping their teeth can achieve excellent results with composite veneers. We will consult with you and recommend the appropriate veneer for your situation.